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Added 3 hours ago
HT
Senior Financial Analyst - Corporate Accounting
Husky Technologies
Bolton, ON
- Full-time
…passion of our people around the world and their desire to lead change. At the same time, we are not afraid to expect a lot and strive for leadership in all of our key markets. We are a…
Added 4 hours ago
M
Manager, Supply Chain / Gestionnaire, Gestion de la chaîne d’approvisionnement
Merck
Charlottetown, PE
- Full-time
Lead cross-functional supply governance, including allocation, production-priority, inventory-target, and recovery decisions when demand, capacity, materials, or release timing are…
Added 4 hours ago
C
Senior Salesforce Developer
CGI
Victoria, BC
- Full-time
…healthcare clients across British Columbia. You will take a lead role on complex implementations - owning technical design, writing high quality Apex and Lightning Web Components, and…
Added 4 hours ago
K
Customer Service/Order Manager
Kelly
Markham, ON
- $26 USD / hour
- Full-time
Confirm product availability, batch release status, and lead times with planning and QA.
Added 6 hours ago
AC
D365 F&O Functional Analyst
Aston Carter
Richmond, BC
- Contract
Oversee licensing, environments, patching, and release waves to keep the platform current and compliant.
Added 6 hours ago
AS
Senior Project Manager – VR & Immersive Training (Canada only)
Aequilibrium Software Inc.
Remote, Canada
- $110,000 to $130,000 CAD / year
- Full-time
- Remote
…for an experienced Senior Project Manager / Scrum Master to lead the day-to-day delivery of our VR4Health program and help us scale our immersive training…
Added 7 hours ago
Quality Assurance Manager - Scarborough
BelPak
Toronto, ON
BelPak is seeking an experienced, proactive, and results-driven Quality Assurance Manager to lead the Quality Assurance and Food Safety programs at our Thornmount facility. The Thornmount…
Added 8 hours ago
A
Senior Project Manager
Atimi
Remote, Canada
- $123,000 to $200,000 CAD / year
- Full-time
- Remote
…upon demonstrating the leadership and performance required to lead the…
Added 9 hours ago
PH
Founding Engineer
Prometheus Health Systems
Remote, Canada
- $150,000 to $190,000 CAD / year
- Full-time
- Remote
Lead a release from plan to deploy. That includes the filled-form samples the founder reviews before any change to how forms fill.
Added 9 hours ago
AI
Oracle AWS Cloud DBA – Migration & Amazon RDS Specialist
Astra-North Infoteck Inc. ~ Conquering today’s challenges, achieving tomorrow’s vision!
Toronto, ON
- Full-time
Lead database release automation, code reviews, and schema migrations across development, staging, and production environments.
Added 9 hours ago
HT
Senior Financial Analyst - Corporate Accounting
Husky Technologies
Bolton, ON
- Full-time
…passion of our people around the world and their desire to lead change. At the same time, we are not afraid to expect a lot and strive for leadership in all of our key markets. We are a…
Added 9 hours ago
H
Biobank Specialist
HealthCareersInSask.ca
Saskatoon, SK
- Full-time
This role will lead strategic and operational plans for biosample planning, development and quality assurance activities. It will create standards, develop and maintain technical procedure…
Added 10 hours ago
R
Senior Full Stack Engineer (Rails & React)
REW
Vancouver, BC
- Full-time
…you’ll play a critical role in mentorship, architecture, and release management, raising the bar for both our codebase and our…
Added 10 hours ago
C
UAT Lead, Payments
Cognizant
Toronto, ON
- Full-time
As a UAT Lead, Payments, you will make an impact by leading the end-to-end delivery and successful execution of User Acceptance Testing across complex payment initiatives. You will work…
Added 10 hours ago
S
Senior Digital Product Owner, Scotia Wealth Management
Scotiabank
Toronto, ON
- Full-time
Manage engagement with diverse bank stakeholders and effectively communicate product release contents and expected product capabilities/customer journey
Added 10 hours ago
BC
Manager of Subcontracts
Bechtel Corporation
Calgary, AB
- Contract
In this role, you will lead a team managing owner contracts and Bechtel subcontracts, while monitoring field operations and progress. You will develop the subcontracting strategy, operating…
Added 10 hours ago
ES
Producer – Live Team (EA SPORTS NHL)
EA SPORTS
Vancouver, BC
- Full-time
We are seeking an experienced Producer to lead the dedicated Live Team, driving the end-to-end development, live operations, and ongoing evolution of our core online modes: World of Chel…
Added 10 hours ago
TG
Senior Manager, Applications and Engineering
TMX Group
Toronto, ON
- Full-time
…partners, and external vendors to establish priorities, manage release schedules, and deliver complex business solutions utilizing Agile…
Added 10 hours ago
M
Senior Business Systems Analyst
Manulife
Toronto, ON · Waterloo, ON
- Full-time
…for the products our customers and advisors rely on. You will lead discovery with senior stakeholders, analyze the processes and systems behind each request, and ensure solutions address…
Added 10 hours ago
TG
Senior Manager, Applications and Engineering
TMX Group
Toronto, ON
- Full-time
…partners, and external vendors to establish priorities, manage release schedules, and deliver complex business solutions utilizing Agile…
Added 10 hours ago
BG
Foreman Service - Material Handling
Brandt Group of Companies
Winnipeg, MB
- Full-time
Approve release of equipment for delivery after verifying quality and completion of work to uphold service standards.
Added 10 hours ago
RA
Senior Business Analyst – Financial Services / Platform Transformation
Recrute Action
Toronto, ON · Waterloo, Toronto, Ontario
- Contract
Lead end-to-end requirements management, from discovery and requirements elicitation through implementation and post-release support.
Added 10 hours ago
A
Project Engineer
Artika
Montreal, QC
- Full-time
Added 10 hours ago
HI
Project Manager | HRBrain
HRbrain Inc.
Mississauga, ON
- Contract
…frameworks, and systems structure. The successful candidate will lead technical deliveries for large-scale Telecom projects, utilizing both traditional Waterfall and modern Agile…
Added 11 hours ago
Test Automation Specialist
TTC Global
Ottawa, ON
Integrate automated tests into release and CI/CD pipelines.

Prometheus Health Systems

Founding Engineer

Remote, Canada

Remote

$150,000 to $190,000 CAD / year · Full-time

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Job details

Pay: $150,000 to $190,000 CAD / year
Job type: Full-time
Workplace: Remote
Posting language: English
Posted: Nov 2, 2026

Original job description

About us Prometheus Health Systems builds Prometheus Codex. It drafts insurance and government medical forms (disability statements, the Disability Tax Credit, provincial benefits) from documents already in a patient's chart. Every drafted field cites its source. Professional judgments are left to the physician, who reviews and signs every form. We're physician-founded, based in Kelowna, and in pilot with BC clinics. The product is live: chart upload, OCR and LLM extraction, a review screen, sign-off and publishing all run in production on AWS in Canada. As our first engineer, you'll work directly with the founder, a practising physician who built the platform, and with our clinical collaborators. You'll take ownership of a working system and decide how it grows. You'll also help hire and mentor the engineers and students who join next. What you'll own Building. Ship features end to end, from the clinic's workflow to production. Explain the technical tradeoffs to the founder and to clinicians. The core platform. TypeScript/Node.js services, PostgreSQL models and migrations (including row-level tenant isolation), and AWS infrastructure as code. Deploys are repeatable, observable and recoverable. The extraction pipeline. Document ingestion, OCR and LLM extraction into validated, typed facts. It handles duplicates, retries, malformed files, negation, dates, units and conflicting sources. Traceability and abstention. Every value stays traceable to its source passage. Nothing unsupported is drafted. High-risk or opinion fields are routed to the physician, never filled silently. Form onboarding as data. Each new form is configuration and tests, not new engine code. You'll grow the form library province by province. Evaluation. Keep the evaluation sets and filled-form samples that decide whether a release is ready. Track field-level errors, clinician edits, latency and cost. Security and compliance. Keep access controls, audit trails, secrets handling, retention and SOC 2 evidence part of everyday engineering, not a separate project. Leaving it clearer than you found it. Write down technical decisions, help recruit the next engineers, and make the system understandable to the next person who joins. What success looks like By day 30: own the platform Set up the full local toolchain and test gauntlet, and ship your first changes through our review, CI and security-scan gates. Run a production deploy alongside the founder. Then own the deploy runbook. Learn the field rules (what may be drafted, what stays with the physician, what's never offered) and how grounding is verified. Take ownership of one live workstream end to end, such as the form-fill pipeline or the patient-questionnaire channel. By day 60: own a release Lead a release from plan to deploy. That includes the filled-form samples the founder reviews before any change to how forms fill. Onboard one new form end to end as data: mapping, rules, tests and a filled sample. Prove that no engine code was needed. Measure extraction quality on our evaluation set and fix the largest error class you find. Take over the incident and recovery runbooks, and complete one backup-restore exercise. By day 90: set direction Make one release decision on evidence: evaluation results, clinician edit rates, latency and cost against agreed thresholds. Harden one weak area of your choosing, such as observability, tenant-isolation tests or pipeline resilience. Present the next quarter's technical plan, and an onboarding guide for the next engineer. Help select and onboard our next hire. What you bring Evidence of shipping and operating production applications end to end, including ownership of hard tradeoffs and production failures. Strong TypeScript/Node.js and PostgreSQL skills, and experience operating AWS or comparable cloud workloads. Practical experience with LLMs or document processing, including evaluation and failure handling. Sound engineering judgment matters more than any one model vendor. Clear writing, good security judgment, and the willingness to learn clinical workflows from the people who do them. Comfort with early-stage ambiguity, and hands-on work across product, backend, infrastructure and clinic feedback. Useful experience: Canadian EMR integrations, FHIR/HL7, PDF forms and OCR, health information workflows, SOC 2, or an early engineering role at a startup. A particular degree isn't required if you can show the skills. Why join Broad technical ownership of a live clinical product. Direct influence on product direction. Meaningful early equity. Software that saves clinicians hours, with clinical safety as an explicit design constraint. How to apply Email [email protected] with: a short introduction; an example of a system you built, including a difficult tradeoff or production failure you learned from; a link to code, if you have it. Selection includes a paid practical exercise on synthetic documents. Please tell us if you need accommodations during the hiring process.

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More about this job

Responsibilities

Own and develop the live clinical platform end to end, including its TypeScript/Node.js services, PostgreSQL data models, AWS infrastructure, document extraction pipeline, and configurable form library. Lead releases and production operations, ensure traceability and clinical safety, strengthen security and evaluation practices, and help recruit and onboard future engineers.

Requirements

Candidates should have a track record of shipping and operating production applications, strong TypeScript/Node.js and PostgreSQL skills, and experience with AWS or comparable cloud workloads. Practical LLM or document-processing experience, sound security and engineering judgment, clear writing, and comfort working across product, infrastructure, and clinical workflows are expected; no particular degree is required.

Skills

TypeScript
Node.js
PostgreSQL
AWS
Infrastructure As Code
LLM Integration
Document Processing
OCR
Data Modeling
Tenant Isolation
Evaluation And Testing
Security And Compliance
Production Operations
Technical Leadership
Clinical Workflow Collaboration

Benefits

Meaningful Early Equity

Visa sponsorship

Not detected in the job text

Keywords

TypeScript
Node.js
PostgreSQL
AWS
Infrastructure As Code
LLMs
OCR
Document Ingestion
Document Processing
Validated Typed Facts
Data Traceability
Abstention
PDF Forms
Evaluation Sets
Field-Level Error Tracking
Tenant Isolation
Row-Level Security
Audit Trails
Secrets Management
Data Retention
SOC 2
CI
Security Scanning
Backup And Restore
Incident Response
FHIR
HL7
EMR Integrations
Clinical Workflows
Production Operations

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